Infection Prevention and Control Manual

MCN's Infection Prevention and Control Manual contains policies and procedures that are compliant with federal requirements, TJC and NIAHO standards. This manual provides a comprehensive outline managing all pertinent aspects of an infection prevention and control program, with over 250 evidenced-based policies that address administrative and oversight functions of the Infection Preventionist and IC Committee, patient care and employee health.

One Year Online Subscription
Add to Cart

Table of Contents - TJC Standards and CMS RegulationsTable of Contents - NIAHO Standards and CMS RegulationsTable of Contents - JCI standardsCopyrightDisclaimerApproval/Signature SheetIntroduction
Infection Prevention and Control Program
1001 - Infection Prevention and Control Program1002 - Infection Risk Assessment1003 - Definitions1004 - Infection Prevention and Control Committee - Organization and Function1005 - Infection Prevention and Control Committee - Authority1006 - Position Description/Performance Evaluation - Infection Preventionist1007 - Performance Evaluation - Population-Specific/Age-Related Competency - Infection Preventionist1008 - Annual Competency Clinical Skills Assessment - Infection Preventionist1009 - Infection Prevention and Control Incident Tracking1010 - Reporting of Lab Results Indicating an Infection to the Receiving Healthcare Organization1011 - Department-Specific Infection Prevention and Control Responsibilities1012 - Sanitary Environment Policy1013 - Storage of Items Under Sinks1014 - TB Risk Assessment Worksheet1015 - CDC Checklist for SARS Preparedness in Healthcare Facilities1016 - Construction/Renovation Guidelines1017 - Infection Control Risk Assessment for Construction Projects Form1018 - Construction Rounds Compliance Monitor Form1019 - Infection Prevention and Control Plan1020 - Surveillance Plan1021 - Methods of Surveillance1022 - Infection Control - Infection Review Report Form1023 - Infection Control - Monthly Surveillance Report Form1024 - Infection Control Statistics - Quarterly Report Form1025 - Environmental Culturing1026 - Components of a Protective Environment1027 - Response to an Influx of Infectious Patients1028 - Antibiotic Stewardship Program Implementation Plan1029 - Restricted Antimicrobial Approval and Dispensing Procedure1030 - Triage of Patients Suspected of Ebola1031 - Managing Patients with Suspected or Actual Viral Hemorrhagic Fevers1032 - Safe Handling of Human Remains of Ebola Patients1033 - Interim Guidance for Environmental Infection Control for Patients with Probable/Suspected Ebola Virus1034 - Interim Guidance for Handling Untreated Sewage from Individuals with Ebola in the United States
2001 - Employee Health Program2002 - Illness Reporting2003 - Employee Absence Report Form2004 - Employee Incident Reporting2005 - Workplace Injury, Illness or Fatality Reporting2006 - Pre-Employment Physical Examination2007 - Pre-Employment Physical Examination Instruction Sheet2008 - Employee Reporting and Work Restrictions Due to Exposure to Communicable Diseases2009 - Healthcare Staff Vaccination Recommendations2010 - Immunization Status of Employees2011 - Measles, Rubella and Varicella Disease Screening - Staff2012 - Varicella Zoster2013 - Bordetella Pertussis2014 - Hepatitis B Vaccine Program2015 - Informed Consent for Hepatitis B Vaccine Form2016 - Hepatitis B Vaccine Declination Form2016A - Recommendations for Chronically HBV-Infected Healthcare Providers and Students2017 - TB - Exposure Control Plan2018 - Annual Employee TB Screening2019 - Health Questionnaire for Positive Tuberculosis Skin Test Reactions2020 - Baseline and Follow-up Testing for M. Tuberculosis Infection2021 - Influenza Vaccination Program for Healthcare Staff2022 - Influenza Immunization Program for Healthcare Staff - Monthly Implementation Checklist2022A - Healthcare Staff Influenza Vaccination Immunization Rates2023 - N95 Fit-Testing2024 - Infection Prevention and Control Considerations for Pregnant Employees2025 - Latex Allergy Prevention and Management in Healthcare Workers2026 - Staff Latex Sensitivity2027 - Latex Allergy Assessment Form2028 - Notification Requirements for Emergency Response Employees' Infectious Diseases Exposure2029 - Suggested Guidelines for Work Restrictions for Staff with Infectious Diseases2030 - Monitoring and Management of Potentially MERS-CoV Exposed Personnel
4001 - Infection Prevention and Control Considerations for Patient Room Assignments4002 - Admission of a Patient with a Communicable Disease4003 - National Notifiable Infectious Conditions4004 - Quarantinable Diseases4005 - Patient Visitation Management4006 - Infection Prevention and Control - Communication with Off-Site Interpretive Reading Providers4007 - Standard Precautions4008 - Hand Hygiene - CDC Guidelines4009 - Recommendations for Hand Hygiene4010 - Alcohol-Based Hand Rub (ABHR) - Gel (Placement and Permissible Volumes)4011 - Respiratory Hygiene/Cough Etiquette in Healthcare Settings4012 - Transmission-Based Precautions (Isolation Precautions)4013 - Airborne Infection Isolation Rooms (AIIRs) and Other Negative Pressure Rooms4014 - Education of Patient and Family4015 - Infection Prevention and Control - Patient Education4016 - Management of Multidrug-Resistant Organisms in Acute Care Settings4016A - Chikungunya Virus (CHIKV)4017 - Clostridium difficile (C. difficile)4017A - Carbapenem-Resistant Enterobacteriaceae (CRE)4017AA - Carbapenem-Resistant Enterobacteriaceae (CRE) Active Surveillance4017B - Cyclospora Infection4018 - Escherichia Coli O157:H7 and Other Shiga Toxin-Producing Escherichia Coli (STEC)4019 - MRSA, VRE Screening4020 - Methicillin Resistant Staphylococcus Aureus (MRSA) - Management of4021 - Community-Associated MRSA Infections - Fact Sheet for the Workplace4022 - Central Venous Lines and PICC Lines Bundle - Insertion of4023 - Central Venous Catheter and PICC Line Time Out Checklist4024 - What You Need to Know About Central Line Infections (CLI)4025 - Central-Line Associated Bloodstream Infections - Surveillance4026 - Catheter-Associated Urinary Tract Infection Prevention Program4027 - Catheter-Associated Urinary Tract Infections - Surveillance4028 - Infection Prevention and Control - Catheter-Associated Urinary Tract Infection PI Trending Sheet4029 - Indwelling Urinary Catheter Insertion and Maintenance - Female Patient4030 - Indwelling Urinary Catheter Insertion and Maintenance - Male Patient4030A - HCV Testing and Management of4031 - Management of Norovirus4032 - Norovirus Outbreak - Cleaning and Disinfection4033 - Transmission-Based Precautions - Mumps4034 - Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV)4034A - Middle East Respiratory Syndrome Coronavirus (MERS-CoV)4035 - Salmonella4036 - Administering the Tuberculin Skin Test (TST)4037 - Overview of Multidrug-Resistant Tuberculosis (MDR TB)4038 - Overview of Extensively Drug-Resistant Tuberculosis (XDR TB)4039 - Treatment of Latent Tuberculosis Infection4040 - Airborne Precautions for Tuberculosis4041 - Management of the Patient with West Nile Virus4042 - Ventilator Bundle4043 - Ventilator Bundle Checklist4044 - Ventilator Maintenance/Monitoring - Recommended Parameters4045 - Infection Prevention and Control - Labor and Delivery4046 - HBsAg and Prophylaxis to the Neonate4047 - Hospital Report Form - Perinatal Hepatitis B4048 - Rubella Vaccination4049 - HIV Antibody Test and Results4050 - Consent for the HIV Test (Sample Form)4051 - Authorization for Disclosure of the Results of the HIV Antibody Blood Test (Sample Form)4052 - Infection Prevention and Control - Nursing Services4053 - Postmortem Care4054 - Infection Prevention and Control Measures - Surgical Services4055 - Patient and Family Education - Surgical Site Infections4056 - Antibiotic Administration4057 - Skin Preparation Protocol4058 - Aseptic Practices4059 - Surgical Wound Classifications4060 - Creutzfeldt-Jakob Disease Precautions4061 - Attire in the Operating Room4062 - Surgical Hand Scrub4063 - Alcohol-Based Antiseptic Surgical Hand Rub4064 - Gowning and Gloving Technique4065 - Closed Gowning and Gloving Technique4066 - Open Gloving Technique4067 - Traffic Patterns in the Surgical Suite4068 - Selection of Barrier Materials for Surgical Procedures4069 - Event-Related Shelf Life - Sterile Storage4070 - Immediate Use Steam Sterilization4071 - Reprocessing of Single-Use Devices4072 - Healthcare Industry Representative Visitation4073 - Visitors in the OR and PACU4074 - Infection Prevention and Control - Volunteer Services4075 - Injection Safety Practices4076 - Pneumococcal Vaccination4077 - Patient Immunization Record Form4078 - Service Animals4079 - Use of Ultrasound Gel Products4080 - CDC - Type and Duration of Precautions Recommended for Selected Infections and Conditions
6001 - Infection Prevention and Control - Admitting6002 - Registration of Patients with Known Multi-Drug-Resistant Organisms6003 - Infection Prevention and Control - Anesthesia6004 - Infection Prevention and Control - Cardiac Rehabilitation6005 - Infection Prevention and Control - Cardiopulmonary Services6006 - Infection Prevention and Control - Central Service6007 - Infection Prevention and Control - Clinical Laboratory/Pathology6008 - Infection Prevention and Control - Emergency Department6009 - Infection Prevention and Control Overview for Environmental Services6010 - Cleaning Supplies and Chemicals6011 - Clean-Up of Blood Spills6012 - Computer Keyboard Infection Control6013 - Cleaning Patient Room - Occupied6014 - Cleaning Patient Room - Discharge/Transfer6015 - Cleaning Isolation Patient Room - Occupied6016 - Cleaning Isolation Patient Room - Discharge/Transfer6016A - Cleaning of Equipment and Instrument Trays6017 - Electronic Medical Equipment Maintenance6018 - Infection Prevention and Control - Laundry6019 - Pest Control6020 - Infection Prevention and Control - GI Laboratory6021 - High-Level Disinfection of Flexible Endoscopes6022 - Glutaraldehyde Monitoring6023 - Glutaraldehyde Precautions6024 - Contamination of Medical Records by Blood/Body Fluids6025 - Infection Prevention and Control - Imaging Services6026 - Portable Imaging in an Isolation Room6027 - Patient on Transmission Precautions6028 - Department Cleaning Procedure - Imaging Services6029 - Infection Prevention and Control - General Procedures - Labor and Delivery6030 - Infection Prevention and Control - Materials Management6031 - Infection Prevention and Control - Nursery6032 - Infection Prevention and Control - Nutritional Services6033 - Cafeteria Infection Prevention and Control6034 - Cleaning of Vending Machines6035 - Ice6036 - Cleaning Special Equipment6037 - Infusion Pumps - Equipment Inspection, Care and Maintenance6038 - Infection Prevention and Control - Patient Care Units6039 - Infection Prevention and Control - Pediatric Unit6040 - Cleaning Toys6041 - Guidelines for Sibling Visitation6042 - Infection Prevention and Control - Pharmacy6043 - Air Quality Checks6044 - Attest Biological Indicator Use6045 - Critical Sites6046 - Antimicrobial Susceptibility Report6047 - Microbiological Testing of IV Solutions - Infection Prevention and Control6048 - Infection Prevention and Control - Post Anesthesia Care Unit6049 - Attire in the PACU6050 - Infection Prevention and Control - Postpartum6051 - Infection Prevention and Control - Rehabilitation Services6052 - Hydrotherapy Tank and Pool Cleaning6053 - Infection Prevention and Control - Sleep Lab6054 - Cleaning the Surgery Department